Provider Demographics
NPI:1144945759
Name:WOO PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:WOO PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SUHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-370-7307
Mailing Address - Street 1:392B N WANTAGH AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4100
Mailing Address - Country:US
Mailing Address - Phone:631-949-4811
Mailing Address - Fax:917-779-9959
Practice Address - Street 1:392B N WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-4100
Practice Address - Country:US
Practice Address - Phone:631-949-4811
Practice Address - Fax:917-779-9959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty